Provider Information for 1194861393
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ERIC KATZ LCSW-R
Sex: Male
NPI: 1194861393
Last Updated: 2021-04-29
Certification Date: 2021-04-29
Certification Date: 2021-04-29
Details
Name | Value | ||||||||
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NPI | 1194861393 | ||||||||
Enumeration Date | 2007-01-29 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1600 7TH AVE STE 3 TROY, NY 12180-3410 United States Phone: 518-270-2646 | Fax:518-270-2707 | ||||||||
Primary Practice Address | 69 CHURCH ST HOOSICK FALLS, NY 12090-1642 United States Phone: 518-686-0694 | Fax:518-686-4862 | ||||||||
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